Zach Seim » Miscellaneous

  • Vitreomacular Traction

    Jun 15 2022 by Zach Seim

    Optical Coherence Tomography (OCT) of a 69 year old male with Vitreomacular Traction affecting his right eye. Patient was referred to this office for Choroidal Melanoma in his right eye in May 2021. The patient was treated with Brachytherapy in July 2021 and this OCT was taken at a follow-up appointment in May 2022. Patient's vision was 20/30-2 at the time this OCT was taken. Patient states that his vision was better since his last visit, and that he sees floaters occasionally.

    Photographer: Zach Seim

    Imaging device: Heidelberg Spectralis

    Condition/keywords: heidelberg spectralis, OD, optical coherence tomography (OCT), right eye, subretinal fluid, vitreomacular adhesion, vitreomacular interface disorders, vitreomacular traction (VMT)

  • Choroideremia

    Sep 21 2022 by Zach Seim

    Ultra-widefield fundus photo of a 74 year old male presenting with severe vision loss beginning at age 55. Patient sought a second opinion with our office and was diagnosed with Choroideremia. Patient denies hearing loss, heart problems, balance issues, polydactyly, kidney problems, and dental problems. Patient reports that nobody in the family had blindness. Choroideremia is an X-linked chorioretinal dystrophy characterized by the diffuse, progressive degeneration of the retinal pigment epithelium (RPE), photoreceptors and choriocapillaris. It is caused by a mutation in the CHM gene.

    Photographer: Zach Seim

    Imaging device: Optos California

    Condition/keywords: choroideremia, hereditary choroidal atrophy, hereditary retinal dystrophy, Optos, pseudocolor, ultra-wide field imaging

  • Choroideremia

    Sep 21 2022 by Zach Seim

    Ultra-widefield fundus photo of a 74 year old male presenting with severe vision loss beginning at age 55. Patient sought a second opinion with our office and was diagnosed with Choroideremia. Patient denies hearing loss, heart problems, balance issues, polydactyly, kidney problems, and dental problems. Patient reports that nobody in the family had blindness. Choroideremia is an X-linked chorioretinal dystrophy characterized by the diffuse, progressive degeneration of the retinal pigment epithelium (RPE), photoreceptors and choriocapillaris. It is caused by a mutation in the CHM gene.

    Photographer: Zach Seim

    Imaging device: Optos California

    Condition/keywords: choroideremia, hereditary choroidal atrophy, hereditary retinal dystrophy, left eye, light perception, low vision, Optos, pseudocolor, ultra-wide field imaging

  • Methotrexate Bubble following Intravitreal Injection for PVR

    Sep 21 2022 by Zach Seim

    Ultra-widefield fundus photograph of an 81 year old female with a Methotrexate bubble following an Intravitreal Injection for Proliferative Vitreoretinopathy. Patient has been presenting to the office for two week interval Methotrexate injections in her left eye. The image was taken prior to her eighth injection which revealed a residual Methotrexate bubble in her inferior retinal image. This patient was seeing "lots" of floaters, as well as having visual acuity of cc20/400 cc20/200 PH.

    Photographer: Zach Seim

    Imaging device: OPTOS California

    Condition/keywords: bubble, fundus photograph, fundus photography, intravitreal injection, left eye, methotrexate, nasal retina, Optos, proliferative vitreoretinopathy (PVR), pseudocolor, retinal detachment, ultra-wide field imaging

  • Iris Coloboma

    Feb 22 2023 by Zach Seim

    An external image of a 25 year old male with Iris Coloboma, as well as Fundus Coloboma affecting both eyes. Patient's vision at the time of the image was 20/80. Discussed genetic testing as patient reports that he has a child with coloboma and patient agrees. There is a possibility of this finding being syndromic given cornea has small WTW and possibly microphthalmia. Recommended observation without treatment.

    Photographer: Zach Seim

    Imaging device: Topcon 50DX

    Condition/keywords: coloboma, iris, left eye, Topcon

  • Fundus Coloboma

    Feb 22 2023 by Zach Seim

    An ultra-widefield fundus image of a 25 year old male with Fundus Coloboma, as well as Iris Coloboma affecting both eyes. Patient's vision at the time of the image was 20/100-2. Discussed genetic testing as patient reports that he has a child with coloboma and patient agrees. There is a possibility of this finding being syndromic given cornea has small WTW and possibly microphthalmia. The patient has old tractional exudation at edge (abutting fovea). Recommended observation without treatment.

    Photographer: Zach Seim

    Imaging device: Optos California

    Condition/keywords: coloboma, coloboma of optic disc, fundus photograph, Optos, scanning laser ophthalmoscope, ultra-wide field imaging

  • Macula Off Retinal Detachment

    Mar 22 2023 by Zach Seim

    An ultra-widefield fundus image of a 65 year old male with a Macula Off Retinal Detachment. Patient's vision at the time of the image was CF at 6 Feet and surgical options were discussed. Fluid-gas exchange was performed without complications.

    Photographer: Zach Seim

    Imaging device: Optos California

    Condition/keywords: left eye, macula off retinal detachment, OPTOS CALIFORNIA, retinal detachment, scanning laser ophthalmoscope, ultra-widefield image

  • Non-Kissing Choroidal Detachment

    Apr 3 2023 by Zach Seim

    An ultra-widefield fundus image of an 85 year old female with a Choroidal Detachment. Patient's vision at the time of the image was HM and surgery was not recommended.

    Photographer: Zach Seim

    Imaging device: Optos California

    Condition/keywords: choroid, choroidal detachment, left eye, OPTOS CALIFORNIA, ultra-widefield image

  • Macula Off Retinal Detachment

    Jun 23 2023 by Zach Seim

    Ultra-widefield fundus photograph of a 42 year old women with a Macula Off Retinal Detachment in her left eye. At the time of this photograph the patient's visual acuity was sc CF at 2 feet.

    Photographer: Zach Seim

    Imaging device: Optos California

    Condition/keywords: left eye, macula off retinal detachment, Optos, OPTOS CALIFORNIA, retinal detachment, scanning laser ophthalmoscope, ultra-widefield image

  • Neovascularization in Posterior Uveitis

    Jul 27 2023 by Zach Seim

    An ultra-widefield fluorescein angiogram of a 72 year old male with Posterior Uveitis and Neovascularization affecting the right eye. Patient's vision at the time of the image was Dcc 20/25. Dr. Korot states that the fluorescein angiogram shows patchy leakage throughout both eyes, with peripheral nonperfusion and secondary neovascularization. The patient was asked to get an extensive serological workup in an effort to identify any systemic autoimmune or infectious etiology as the cause for their severe inflammation.

    Photographer: Zach Seim

    Imaging device: OPTOS California

    Condition/keywords: fluorescein angiogram (FA), FLUORESCEIN ANGIOGRAPHY, fluorescein leakage, neovascularization (NV), Optos, OPTOS CALIFORNIA, posterior uveitis, right eye, ultra-wide field imaging, ultra-widefield image

  • Coats' Disease

    Sep 14 2023 by Zach Seim

    An ultra-widefield fluorescein angiogram of a 5 year old male with Coats' Disease affecting the left eye. Patient's vision at the time of the image was Nsc 20/30. Dr. Boss states that the fluorescein angiogram confirms Coats' Disease Stage II.

    Photographer: Zach Seim

    Imaging device: Optos California

    Condition/keywords: Coats' disease, fluorescein angiogram (FA), fluorescein leakage, left eye, Optos, OPTOS CALIFORNIA, ultra-wide field imaging

  • Macular Dystrophy

    Oct 25 2023 by Zach Seim

    Optos Fundus Autofluorescence of an 84 year old male with Macular Dystrophy. Patient presented with VA of sc CF at 3 feet. Genetic testing was performed to ensure that cause was not genetic.

    Photographer: Zach Seim

    Imaging device: Optos California

    Condition/keywords: Autoflourescence, dystrophy, macular dystrophy, Optos, OPTOS CALIFORNIA, right eye, ultra-wide field imaging

  • Sturge-Weber Syndrome

    Nov 17 2023 by Zach Seim

    Topcon photo of a 37 year old female with Sturge-Weber syndrome affecting OU. Patient presents with prominent episcleral vasculature and DCC 20/20 VA OU. Plan to monitor.

    Photographer: Zach Seim

    Imaging device: Topcon 50DX

    Condition/keywords: bilateral, external, external photography, left eye, right eye, Sturge-Weber syndrome, Topcon

  • Scalloped Choroidal Atrophy

    Jan 8 2024 by Zach Seim

    An ultra-widefield fluorescein angiogram of a 90 year old female with Scalloped Choroidal Atrophy affecting both eyes. Patient's vision at the time of the image was Dcc 20/40 OD. Genetic test pending.

    Photographer: Zach Seim

    Imaging device: OPTOS California

    Condition/keywords: atrophy, choroidal atrophy, fluorescein angiogram (FA), Fluorescein angiography, optic nerve, OPTOS CALIFORNIA, retina, right eye, ultra-wide field imaging

  • Panuveitis

    Apr 2 2024 by Zach Seim

    Optos Ultra-widefield photo OS of a 59 year old female with Panuveitis OU.

    Photographer: Zach Seim

    Imaging device: Optos California

    Condition/keywords: Optos, OPTOS CALIFORNIA, panuveitis, ULTRA WIDE FIELD, ultra-wide field imaging